Ulnar Gutter Splint For 5th Metacarpal Fracture

Removable ulnar gutter splint was applied and range of motion was initiated.

Ulnar gutter splint for 5th metacarpal fracture. Fracture of the fourth or fifth metacarpal and injuries to the fourth and f. Fourth and fifth proximal middle phalangeal shaft fractures and select metacarpal fractures. The following video demonstrates how to set an ulnar gutter splint. Fifth metacarpal is most commonly injured.

Immobilization of fifth metacarpal neck fracture 1363. The aim of this study was to compare the radiological and clinical outcomes of two conservative treatment methods functional metacarpal splint fms and ulnar gutter splint ugs for the treatment of fifth metacarpal neck fractures. Treatment of a metacarpal neck fracture is with a splint eg an ulnar gutter splint for fractures of the 4th or 5th metacarpal usually for at least a few weeks. These fractures are generally treated with conservative methods.

Cut out a 3 or 4 inch splint material to the length necessary to. Metacarpal fractures account for 40 of all hand injuries. Gutter splint thumb spica splint indications l fractures and soft tissue injuries of 5th digit l fractures of the neck shaft and base of 4th and 5th metacarpals construction l start at mid forearm l extend down ulnar forearm l end at mid distal phalanx l include the 4th and 5th digits application l hand in position of function l forearm in. In addition to standard posteroan terior pa oblique and lateral hand radiographs a clinical examination to include assessment of rotation.

Boxer s fractures distal fifth metacarpal fractures. Fifth metacarpal fractures are the most common fractures of the hand. Hand fractures are the most common fractures of the body and 18 44 of all fractures in the hand occur in the metacarpal bones 1 2 3 4 fractures of the fifth metacarpal are the most common fractures in the hand and most of them are treated conservatively via ulnar gutter splint ugs closed treatment of these fractures with immobilization can lead to complications such as malunion. Mechanism of injury.

Direct blow to hand or rotational injury with axial load. Men aged 10 29 have highest incidence of metacarpal injuries. The radial gutter splint provides both volar and dorsal splint immobilization of these metacarpal injuries. Metacarpal neck is most common site of fracture.

A radial gutter splint should be used for second or third metacarpal fractures with a hole for the thumb while leaving the ring and little finger free.